螺旋CT多平面重建在急性阑尾炎诊断和鉴别诊断中的临床应用
急性阑尾炎;计算机体层摄影;多平面重建;诊断,鲁际,戴洪修,谭光喜,张安莹,王洁兵,肖治明,通讯作者:,Valueofspiralcomputedtomographymultipleplanarreconstructioninthed
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鲁际, 三峡大学第一临床医学院医学影像系 湖北省宜昌市 443003
戴洪修, 谭光喜, 张安莹, 王洁兵, 肖治明, 宜昌市中心人民医院 湖北省宜昌市 443003
通讯作者: 张安莹, 443003, 湖北省宜昌市夷陵路127号, 宜昌市中心人民医院五官科. ycluji01@163.com
电话: 0717-6486291
收稿日期: 2006-10-05 接受日期: 2007-02-08
Value of spiral computed tomography multiple planar reconstruction in the diagnosis and differential diagnosis of acute appendicitis with atypical clinical features
Ji Lu, Hong-Xiu Dai, Guang-Xi Tan, An-Ying Zhang, Jie-Bing Wang, Zhi-Ming Xiao
Ji Lu,Department of Medical Imaging and Radiological Sciences, the First Clinical Medical College of China Three Gorges University, Yichang 443003, Hubei Province, China
Hong-Xiu Dai, Guang-Xi Tan, An-Ying Zhang, Jie-Bing Wang, Zhi-Ming Xiao,Department of Radiology, Yichang Central People’s Hospital, Yichang 443003, Hubei Province, China
Correspondence to:An-Ying Zhang, Department of Radiology, Department of Radiology, Yichang Central People’s Hospital, Yichang 443003, Hubei Province, China. ycluji01@163.com
Received:2006-10-05 Accepted:2007-02-08
Abstract
AIM: To investigate the value of spiral computed tomography (CT) multiple planar reconstruction (MPR) in the diagnosis of acute appendicitis with atypical clinical features.
METHODS: A total of 19 patients with acute appendicitis, who were not initially diagnosed according to clinical presentations, were confirmed surgically and pathologically, and CT manifestations were respectively analyzed. The diagnostic accordance rate was compared between CT axial scan and MPR.
RESULTS: The diagnostic accordance rate was 84.2% when CT axial scan was used alone. Eight cases (4 with stones) were found with increased diameters and walls of appendix, and 10 cases were found with appendicitis or peripheral inflammation. Localized abscess was observed in the right lower abdomen of 5 cases, of which 2 cases were found with calcified appendicitis ......
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